Fabius Plus

Technical Documentation
Fabius plus
Inhalation anesthesia machine
WARNING! Revision 1.0

Each servicing and/or testing of the device
5330.450
requires full understanding of this Techni-
cal Documentation. Carefully read this 9036333
Technical Documentation and any applica-
ble Instructions for Use prior to any use of
the device.
Because you care

Contents
General
Symbols and Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
Function Description
System overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Control panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Control PCB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Respiratory flow measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
FiO2 measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Batteries (backup power supply) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
Pneumatic assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
Lung ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
Gas supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
SORC and flowmeter block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
Compact breathing system Cosy 2.6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
Maintenance Procedures
Maintenance procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40
Leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42
Schematics and Diagrams
Fabius plus tubing diagrams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46
Annex
Parts catalog
K5330450IVZ.fm 16.01.08
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Test List
3
4
Contents
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K5330450IVZ.fm 16.01.08
General
5
General
Symbols and Definitions
Symbols and Definitions
WARNING
A WARNING statement provides important information about a poten-
tially hazardous situation which, if not avoided, could result in death
or serious injury.
CAUTION
A CAUTION statement provides important information about a potentially
hazardous situation which, if not avoided, may result in minor or moderate
injury to the user or patient or in damage to the equipment or other pro-
perty.
NOTE
A NOTE provides additional information intended to avoid inconvenience
during operation or servicing of the equipment.
Definitions:
Inspection = examination of actual condition
Maintenance = measures to maintain specified condition
Repair = measures to restore specified condition
Servicing = inspection, maintenance, and repair
Notes
This Technical Documentation conforms to the IEC 60601-1 standard.
Read each step in every procedure thoroughly before beginning any test.
Always use the proper tools and specified test equipment. If you deviate from
the instructions and/or recommendations in this Technical Documentation,
the equipment may operate improperly or unsafely, or the equipment could be
damaged.
Dräger recommends that only Dräger supplied repair parts be used for main-
tenance. Otherwise the correct functioning of the device may be compro-
mised.
The maintenance procedures described in this Technical Documentation may
be performed by properly trained service personnel only. These maintenance
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procedures do not replace inspections and servicing by the manufacturer.

This Technical Documentation is for the purpose of information only. Product
descriptions found in this Technical Documentation are in no way a substitute
for reading and studying the Instructions for Use.
NOTE
Unless otherwise stated, reference is made to laws, regulations or stan-
dards (as amended) applicable in the Federal Republic of Germany for
equipment used or serviced in Germany. Users or technicians in all other
countries must verify compliance with local laws or applicable international
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standards.
6 Fabius plus 533.450

General
Notes
NOTE
If the test values are not met, please contact your local service organiza-
tion.
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533.450 Fabius plus 7

8
Notes
General
Fabius plus
533.450
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Function Description
9
Function description
System overview
System overview
Introduction The following text describes the structure, the functional principle, and the
connections of the Fabius plus.
Structure The Fabius plus comprises the following assemblies:

– Display unit and control panel
– Flowmeter block
– Gas inlet block
– Compact breathing system
– Pneumatic assembly
– Lung ventilator
– Vapor anesthetic agent vaporizer
– Trolley
Functional principle The Fabius plus is an inhalational anesthetic machine with continuous flow.
The integrated components monitor the airway pressure, the volume, and the
fraction of inspired oxygen.
Connections, interfaces,
and components
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Fig. 1 Front view of the Fabius plus, for legend see Table 1

System overview
Table 1 Legend to Fig. 1
No. Designation
1 Compact breathing system.
2 Lung ventilator.
3 Interlock Vapor mount.
4 O2 flush.
5 Control panel (settings for ventilation parameters and airway
monitoring).
6 Display unit.
7 Manometer for pin-index cylinders (O2, N2O).
8 Flowmeter block.
9 Valves for fresh-gas metering.
10 Trolley.
Fig. 2 Rear view of the Fabius plus, control box, for legend see Table 2
No. Designation
1 COM1 (serial port).
2 APL (tube connector for APL bypass valve).
3 PEEP (tube connector for PEEP valve).

4 Oxygen sensor connector.
5 Positive pressure ventilation (airway pressure connector).
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6 Volume sensor (Spirolog sensor).

7 Power cord strain relief.
8 Power cord connection (with fuses).

System overview
No. Designation
9 ON/OFF switch.
10 Battery fuse.
Fig. 3 Rear view of the Fabius plus, gas inlet block, for legend see
Table 3
Item Designation
1 Three, vertically-arranged inlets for central gas supply (from top to
bottom: N2O, AIR, and O2).
2 Three, vertically-arranged inlets for reserve gas cylinders (from top
to bottom: N2O, AIR, and O2).
3 Pin-index connector for N2O or AIR.
4 Pin-index connector for O2.
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Control panel
Control panel
Introduction The following describes the functional principle of the control panel assembly.
Structure The control panel comprises the following parts:

– a display unit (graphic display)
– a membrane keypad
– a rotary knob
– a bezel
– a loudspeaker
Functional principle Data and power for the display unit are supplied by the Control PCB via a 20-
conductor ribbon cable. The keypad interface is connected to the Control
PCB by a 30-conductor ribbon cable.
Fig. 4 Block diagram of the control panel

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Control panel
Control panel
Fig. 5 Control panel (“Standby” screen), for legend see Table 4
Item Function
1 Key for selection of the Volume Control ventilation mode (refer to
Instructions for Use).
2 Key for selection of the Pressure Control ventilation mode (refer to
3 “Pressure Support” key.
4 “SIMV” key.
6 Key for switching the lung ventilator to “MAN/SPONT” mode (refer
to Instructions for Use).
7 Programmable keys: For activation of the corresponding function
that appears on screen above the keys.
8 Keys for setting the alarm limits (refer to Instructions for Use).
9 “Setup” key for setting customer-specific parameters (refer to
10 “Home” key for returning the display to the main screen.
11 Rotary knob: Moves the cursor on the screen; confirms selection
when pressed.
12 Alarm status indicators:
Flashing red: Warning; flashing yellow: Caution; solid yellow: Note.
13 Alarm silence key: Silences all active alarms for two minutes.
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14 Power ON indicator: Is on when the device is plugged into an active

AC outlet.
15 Switches the device to “Standby” mode.
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Control PCB
Control PCB
Introduction The following describes the Control PCB function.
Functional principle The Control PCB provides the following functions in the Fabius plus or com-
municates with the following assemblies, as applicable:
– Motor control and monitoring.
– Measurement of O2 and flow (Spirolog sensor) parameters
– Provision of a serial port.
– Evaluation of the O2 low signal.
– PEEP valve control.
– Pump control.
– Display control.
– Evaluation of keypad and rotary knob.
The supply voltages to the Control PCB are provided by the power supply
unit.
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Fig. 6 Controller functional block diagram

Respiratory flow measurement
Respiratory flow measurement
Introduction The following describes the respiratory flow measurement function.
Structure
Fig. 7 Respiratory flow sensor, for legend see Table 5
Item Designation
“A” Platinum wire “A”
“B” Platinum wire “B”
Functional principle The flow sensor functions according to the constant temperature hot-wire
anemometer principle.
Respiratory gas flows past a thin platinum wire. This platinum wire (A) is
located in a measuring tube and is electrically heated.
The platinum wire is held at a constant temperature. Gas flow removes heat
from the hot wire. The higher the gas flow rate, the greater the heat removal.
The amount of electrical current needed to maintain a constant platinum wire

temperature is thus proportional to the gas flow rate.
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A second platinum wire (B) inside the measuring tube is used for temperature
compensation.
Internal calibration tables for O2/N2O mixtures, AIR and 100% O2 are used
to linearize the measured flow.
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FiO2 measurement
FiO2 measurement
Introduction The following text describes the structure and the functional principle of the
FiO2 measurement.
Design of the O2 sensor
Fig. 8 Oxygen sensor, for legend see Table 6
Item Designation
1 Teflon membrane.
2 Gold cathode A.
3 Lead anode.
4 Temperature compensating resistors.
5 Alkaline electrolyte.
6 Gold cathode B.
Functional principle The oxygen sensor measures the fraction of inspired oxygen (FiO2).
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The oxygen sensor is an electrochemical cell that generates a voltage which

varies according to the O2 concentration.
The two gold cathodes are spatially separated. This allows for a voltage com-
parison which provides an additional measuring security.
The oxygen to be measured diffuses through the Teflon membrane, under-

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goes a chemical reaction at the gold cathodes (negative) and produces lead
oxide and water at the lead anode (positive).

FiO2 measurement
During this chemical process, two voltages are generated that are propor-
tional to the O2 partial pressure.
The internal resistance of the cell is determined by the surface of the gold
cathodes, the O2 diffusion velocity, and the distance between the gold cath-
odes and the lead anode. This resistance is approximately 700 ohms.
The chemical process is temperature-sensitive. Therefore, thermistors are

connected in parallel to the oxygen sensor.
These resistors and the internal resistor of the oxygen sensor correct the
measuring voltage.
Since two cathodes are used in the oxygen sensor cell, two different voltages
are generated. These voltages are compared with each other. If their differ-
ence exceeds a certain value, the machine prompts the operator to check the
cell.
If the oxygen sensor fails, a warning will be displayed on the screen.
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Batteries (backup power supply)
Batteries (backup power supply)
Introduction The following describes the backup power supply function.
The backup power supply is part of the control box.
Structure The Fabius plus backup power supply comprises two rechargeable, series-
connected 12-V batteries.
Functional principle The batteries are charged whenever the Fabius plus is connected to the
mains power supply. If the mains voltage fails or the power plug is discon-
nected, the device will switch to backup power supply. During backup power
supply, the Fabius plus will display the charging status of the batteries on its
display unit.
The 3.15-A fuse (see Fig. 9) is located at the back of the control box.
Fig. 9 Block diagram of the backup power supply
Designation Function
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12 V Two rechargeable batteries. Backup power supply for

approx. 45 minutes, provided that the batteries are fully
charged.
Fuse 3.15 A T Battery fuse.
J5 Battery connection to the Control PCB.
J6 Power supply connection to the Control PCB.
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Pneumatic assembly
Pneumatic assembly
Introduction The following describes the pneumatic assembly function.
The pneumatic assembly is located inside the control box.
Functional principle The pneumatic assembly generates the pressure for the following functions:
– PEEP valve control.
– Negative pressure for the bag-type rolling seals of the lung ventilator.
– APL bypass valve control.
PEEP/Pmax valve control When the Fabius plus is operating in the automatic ventilation mode, the
pump on the pneumatic assembly is running, and the electronic PEEP valve
is actuated by the Control PCB.
The current supplied to the coil of the electronic PEEP valve is proportional to
the set PEEP value, and controls the position of the diaphragm within the
electronic PEEP valve. This then determines the control pressure applied to
the proportional PEEP valve in the compact breathing system, which main-
tains the desired amount of PEEP during patient expiration.
The V1 reservoir smoothes out pressure variations caused by the pump (see
Fig. 10).
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Fig. 10 Schematic of the pneumatic control

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APL bypass valve control When the Fabius plus is operating in the automatic ventilation mode, the
pneumatic assembly provides a vacuum signal to hold open the APL bypass
valve in the compact breathing system.

Pneumatic assembly
The V2 reservoir and the filter provide noise damping.
The variable restrictor is used to set the negative pressure level in the range
from –150 cmH2O (mbar) to –240 cmH2O (mbar). The negative pressure
ensures that the piston seals are properly seated properly and the device
operates at a moderate noise level.
When the device is in manual ventilation mode, the pump in the pneumatic
assembly (and in the lung ventilator) is stopped. The spring-loaded APL
bypass valve in the compact breathing system closes thus allowing the expi-
ratory gas to flow through the APL valve.
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Lung ventilator
Lung ventilator
Introduction The following describes the functional principle of the lung ventilator.
Structure The lung ventilator is located in a swing-out compartment on the left-hand

side of the Fabius plus.
Functional principle
Motor/ballscrew assembly Fresh gas is delivered to the patient by a piston that is driven by a motor and
ball-screw arrangement. A sight window on the compartment allows the oper-
ator to verify movement of the piston.
Patient seal Two seals (top and bottom) enclose the piston. The pneumatic assembly
generates a vacuum between the outside of the patient seal and the cylinder
in order to ensure proper operation of the patient seals during piston move-
ment.
Inspiration During inspiration, the lung ventilator delivers fresh gas at a given volume,
pressure and frequency. These parameters are set at the control panel.
Expiration During expiration, the patient seal fills with expired gas from the patient and
with fresh gas stored in the manual ventilation bag.
Piston The lung ventilator motor is powered from the Control PCB. A light barrier on
the lung ventilator signals the Control PCB when the piston reaches its lower
limit. An incremental encoder on the motor shaft determines the number of
revolutions and provides piston travel information to the Control PCB.
Auxiliary-air valve The auxiliary-air valve allows for ventilation with ambient air in the event of
compressed-gas failure.
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Fig. 11 Sectional view of the auxiliary-air valve, for legend see Table 8
Item Designation
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1 Threaded ring.
2 Valve seat.
3 Valve disc.

Lung ventilator
Item Designation
4 Valve cross with spring.
Lung ventilator pressure is monitored by a transducer on the Control PCB.

When the auxiliary-air valve on the patient system opens, a fresh-gas low
alarm is generated, provided that it has been enabled in the service mode.
If an insufficient amount of reserve gas is available in the manual ventilation

bag, the operator will be alerted by means of a medium-priority, fresh-gas low
alarm. This alarm can be disabled in service mode.
Pressure limiting valve If the pressure limit control fails, the lung ventilator pressure limiting valve lim-
its the gas pressure. This valve opens at approximately 75 cmH2O (mbar).
Fig. 12 Sectional view of the safety valve, for legend see Table 9
Item Designation
1 Screw.
2 Spring.
3 Washer.
4 Valve disc.
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Lung ventilator
Fig. 13 Lung ventilator schematic, for legend see Table 10
Item Designation Item Designation

1 Top section of housing. 6 Upper patient seal.

2 Pressure limiting valve. 7 Piston.
3 Auxiliary-air valve. 8 Lower piston seal.
4 Pressure sensor line to the Control PCB. 9 Motor/ballscrew assembly.
5 Vacuum line to the pneumatic assembly. 10 Incremental encoder.
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Gas supplies
Gas supplies
Introduction The following describes the functional principle of the gas supply.
Functional principle The supply gases flow through the filters and non-return valves into the flow-
meter block. Pipeline supply pressures are indicated on manometers located
on the flowmeter block. The cylinder manometers are located above the flow-
meter block (only with PIN-index cylinders). The O2 and N2O pressures
delivered to the flowmeter block are set by means of pressure regulators on
the gas inlet block.
If the O2 supply fails or its pressure decreases below a certain limit, the O2
low alarm switch generates an alarm.
Fig. 14 Functional diagram of the gas supply
If the O2 flush button is pressed, oxygen is delivered to the fresh-gas outlet.

The fresh-gas ejector prevents the fresh gas from flowing back into the anes-
thetic vaporizer. This avoids an increase in anesthetic gas concentration.
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SORC and flowmeter block
Introduction The following describes the functional principle of the SORC (Sensitive Oxy-
gen Ratio Controller). The SORC is part of the gas supply and forms an
assembly together with the flowmeter block.
Structure
Fig. 15 Functional diagram of the SORC, for legend see Table 11
Item Designation
1 Control diaphragms.
2 Restrictors.
3 N2O non-return valve.
4 Operating-point adjusting screw.
5 Valves for fresh-gas metering.
Functional principle The SORC is a control element. The SORC ensures that the fresh gas con-
tains a vital O2 concentration.
In the event of an O2 shortage, the SORC limits the N2O flow such that the
O2 concentration in the fresh gas does not decrease below 21 vol.%.
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If the O2 flow control valve is closed or if the O2 flow is lower than or equal to
200 mL/min, the SORC interrupts the N2O flow.
N2O can be added as of an O2 flow of approx. 300 mL/min. In this case, the
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SORC also prevents O2 concentrations below 21 vol.%.

Fig. 16 Functional diagram of the flowmeter block and SORC
Designation Function
SORC bypass The SORC bypass valve allows oxygen to bypass the
valve restrictor in the SORC when O2 flows above 10 L/min
are needed.
SORC Restrictors located at the outlets of the SORC generate
back-pressures. These back-pressures exert a force on
the control diaphragms of the SORC. The O2 back-pres-
sure opens the SORC. The N2O back-pressure closes
the SORC. The pressure ratio at the control diaphragm
affects the N2O flow.
The resistors and the spring force are dimensioned such

that a minimum concentration of 21 vol.% of O2 is
always ensured. The maximum O2 flow is approx.
12 L/min.
Safety valve Limits the back-pressure to 0.7 bar.
Flowmeter tubes Indicate the set flow. Two (2) flow ranges are indicated
for O2 and N2O. Only 1 flow range is indicated for AIR.
Flow control The fresh-gas flow control valves allow the operator to
valves set the flows for O2, AIR, and N2O.
Anesthetic vapor- When the anesthetic vaporizer is plugged-in and
izer(s) switched on, the fresh-gas is enriched with anesthetic
agent. If the anesthetic vaporizer is not plugged in, the
fresh gas flows through the bypass directly to the ejector
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(fresh-gas outlet).
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Compact breathing system Cosy 2.6
Introduction The following describes the function of the compact breathing system Cosy
2.6 (hereinafter referred to as compact breathing system).
The compact breathing system allows different modes of patient ventilation:

– Manual ventilation and spontaneous breathing
– Volume Control ventilation
– Pressure Control ventilation
Structure The compact breathing system comprises the following components:

– Absorber
– APL bypass valve
– Expiratory valve
– Fresh-gas decoupling valve
– Inspiratory valve
– PEEP/Pmax valve
– Spirolog sensor
Functional principle
APL valve switch posi- The compact breathing system closes to atmo-
tion “MAN” sphere.
The APL valve opening pressure can be adjusted
from 5 cmH2O (mbar) to 70 cmH2O (mbar).
This position is used for manual ventilation of the
patient.
APL valve switch posi- The APL valve opens to atmosphere.
tion “SPONT” This position is used for spontaneous breathing of
the patient.
PEEP/Pmax valve The PEEP/Pmax valve and the control box allow
to adjust the pressure limit (Pmax) in the range
between 15 cmH2O (mbar) and 70 cmH2O (mbar)
also during Volume Control ventilation.
This valve generates the PEEP pressure set by
the operator.
Absorber The absorber canister is filled with fresh soda lime.
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The CO2 is scrubbed from the expiratory gas by

the soda lime.
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Fig. 17 Function diagram of Fabius plus with compact breathing system

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Connections and inter-

faces
Fig. 18 Compact breathing system; for legend see Table 13

1 Inspiratory connection. 10 Absorber.
2 Inspiratory valve with oxygen sensor connec- 11 Pressure sensor connection.
tion.
3 Fresh-gas decoupling valve. 12 Ventilation bag hook.
4 APL bypass valve. 13 Spirolog sensor (in housing).
5 Selector knob for MAN and SPONT on the 14 Expiratory connection.

APL valve.
6 Sampling-gas return-line connection. 15 Connection interface for the PEEP/Pmax valve.
7 Non-return valve. 16 Manual ventilation bag connection and standby
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holder for the Y-piece.

8 Fresh-gas port. 17 Expiratory valve.
9 Lung ventilator port Empty item.

Manual ventilation
General
Fig. 19 Functional diagram of the ventilation modes, for legend see Table
14

1 Absorber. 10 Lung.
2 Fresh-gas inlet. 11 Expiratory tube.
3 Fresh-gas decoupling. 12 Spirolog sensor.
4 Lung ventilator. 13 PEEP/Pmax valve.
5 Inspiratory valve. 14 Expiratory valve.
6 Pressure sensor. 15 APL bypass valve.
7 Oxygen sensor. 16 APL valve.
8 Inspiratory tube. 17 Non-return valve.
9 Y-piece. 18 Manual ventilation bag.
During manual ventilation, the APL valve is set to the “MAN” position. The set
opening pressure of the APL valve is also applied.
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The item numbers mentioned in the following paragraphs and chapters refer
to Fig. 19.

Inspiration During inspiration, expiratory valve 14 remains closed. When the operator
compresses the manual ventilation bag 18 the gas mixture (expiratory gas
and fresh gas 2) flows through the absorber 1, the fresh-gas decoupling valve
3, the inspiratory valve 5, the oxygen sensor 7, the inspiratory tube 8, and the
Y-piece 9 into the patient's lung 10.
The pressure sensor 6 measures the airway pressure. The ventilation pres-
sure is limited by the APL valve 16. Any excess amount of the gas mixture
flows through the APL valve and the non-return valve 17 to the anesthetic
gas scavenging system.
Fig. 20 Manual ventilation (inspiration); for legend see Table 14
Manual ventilation: Expira- During expiration, the inspiratory valve remains closed thus preventing the
tion expiratory gas from flowing back into the inspiratory branch.
The item numbers in the following paragraph refer to Fig. 21.
After releasing the breathing bag 18, the expiratory gas from the lung 10
flows through the expiratory tube 11, the flow sensor 12, the PEEP/Pmax
valve 13, the expiratory valve 14, into the manual ventilation bag and through
the absorber 18. At the same time, new fresh gas 2 flows into the manual
ventilation bag.
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Fig. 21 Manual ventilation (expiration); for legend see Table 14
Spontaneous breathing
General A prerequisite for spontaneous breathing is that the patient is supplied with a
sufficient amount of fresh gas. The APL valve selector must be set to the
“SPONT” position. No pressure builds up in the compact breathing system.
Inspiration During inspiration, the expiratory valve remains closed thus preventing
rebreathing of expiratory gas containing CO2.
The item numbers in the following paragraph refer to Fig. 22.
The patient inhales the gas mixture (expiratory gas and fresh gas 2) from the
manual ventilation bag 18. The gas mixture flows through the fresh-gas
decoupling valve 3, the inspiratory valve 5, the oxygen sensor 7, the inspira-
tory tube 8, and through the Y-piece 9 into the lung 10. The pressure sensor 6
measures the airway pressure.
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Fig. 22 Spontaneous breathing (inspiration); for legend see Table 14
Expiration During expiration, the inspiratory valve remains closed thus preventing the
expiratory gas from flowing back into the inspiratory branch.
The item numbers mentioned in the following paragraphs refer to Fig. 23.
The APL valve 16 is open, irrespective of its pressure setting.
The expiratory gas flows from the lung 10 through the expiratory tube 11, the
flow sensor 12, the PEEP control valve 13, the expiratory valve 14, the man-
ual ventilation bag 18 and through the absorber 1. At the same time, new
fresh gas 2 flows into the manual ventilation bag.
When the manual ventilation bag is full, any excess gas mixture flows through
the non-return valve 17 into the anesthetic gas scavenging system.
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Fig. 23 Spontaneous breathing (expiration); for legend see Table 14
Volume/pressure control
ventilation mode
General A prerequisite for volume control ventilation is that the patient is supplied with
a sufficient amount of fresh gas.
The APL bypass valve opens in volume control mode, allowing excess gas to
be vented to the scavenging system regardless of the MAN-SPONT valve
setting.
The safety valve of the patient system makes sure that no pressures greater
than 75 cmH2O build up in the system.
During ventilation, the pressure limit (Pmax) can adjusted on the control box.
Inspiration During inspiration, the PEEP/Pmax valve remains closed. The control pres-
sure present at the PEEP/Pmax valve varies with the set pressure limit
(Pmax).
The pressure generated by the piston 4 of the lung ventilator closes the fresh-
gas decoupling valve 3. The gas mixture (expiratory gas and fresh gas 2)
Copyright reserved.
flows through the inspiratory valve 5, the oxygen sensor 7, the inspiratory
tube 8, and the Y-piece 9 into the lung 10.

The pressure sensor 6 measures the airway pressure. The ventilation pres-
sure cannot exceed the pressure limit (Pmax) set on the control box because
the PEEP/Pmax valve 13 opens. The fresh gas then fills the manual ventila-
tion bag 18.
Any excess fresh-gas flows through the open APL bypass valve 15, and the
non-return valve 17 into the anesthetic gas scavenging system.
Fig. 24 Volume Control ventilation (inspiration), for legend see Table 14
Expiration During expiration, the inspiratory valve remains closed thus preventing
rebreathing into the inspiratory branch.
The expiratory gas from the lung 10 flows through the expiratory tube 11, the
flow sensor 12, the PEEP/Pmax valve 13, the expiratory valve 14, and the
absorber 18 back into the manual ventilation bag 18 mixing with fresh gas 2
also flowing into the manual ventilation bag.
The lung ventilator's piston 4 moves back drawing the gas mixture needed for
the next inspiration into the piston space.
Any excess fresh-gas flows through the open APL bypass valve 15, and the
non-return valve 17 into the anesthetic gas scavenging system.
Copyright reserved.

Fig. 25 Volume Control ventilation (expiration), for legend see Table 14

Copyright reserved.

Copyright reserved.

Maintenance Procedures
39
Maintenance procedure
Maintenance procedures
NOTE
The screen illustrations contained in the maintenance procedures section
are for reference only and therefore may or may not reflect the software
version currently installed.
The Fabius plus diagnostic system monitors and records the status of its
internal hardware when the machine is turned on. The status of each test is
displayed on the power-up screen as shown in Fig. 1. This screen is dis-
played for several seconds before proceeding to the Standby screen. The
power-up screen also displays one of three messages at completion of the
diagnostics:
Message Explanation
FUNCTIONAL This message indicates that the Fabius plus has passed all power-up tests
and is fully functional. The machine will proceed to the Standby screen (Fig.
2) after a short delay.
CONDITIONALLY FUNCTIONAL This message indicates that a minor problem has been detected. The
Fabius plus may be used, but your local authorized service organization or
DrägerService should be notified to correct the problem. Press the rotary
control to proceed to the Standby screen.
NON-FUNCTIONAL This message indicates that a serious problem has been detected, and the
machine will not proceed to the monitor screen. Do not use the machine.
Immediately notify your local authorized service organization or DrägerSer-
vice to correct the problem.
The “Preventive Maintenance Due” message will appear on the screen if the
current date exceeds the Periodic Manufacturer's Service (test procedure)
due date stored in the machine.
1.0_Printed on_16.01.08_W5330450_Wartung.fm
Fig. 1 Power-up diagnostics screen window

Copyright reserved.

Fig. 2 Standby screen window
NOTE
During display of the standby screen, a 2.5-minute count-down appears on
the screen, after which the display changes to energy saving mode. Press
any key on the panel to return to the Standby screen.
1.0_Printed on_16.01.08_W5330450_Wartung.fm
Copyright reserved.

Leak test
Leak test
The leak test menu screen provides instructions on how to start the leak test.
The test starts after preparation of the device.
If the measured leak is outside the tolerance range, an appropriate message

is displayed telling that the system leak test has failed.
With sidestream monitoring, seal off the sampling tube from the Y-piece, oth-
erwise there will be an additional leak rate of 150 mL/min to 200 mL/min.
System leak test 1. The leak test menu prompts the user to connect the Y-piece and to set
the Man/Spont valve to “Man” position. The pressure is set to 40 mbar to
50 mbar.
The motor control moves the piston upward.

2. Activate the O2 flush to increase the system pressure to a value between
15 mbar and 30 mbar.
The software monitors the airway pressure.

3. If the airway pressure is within permissible range, the airway pressure is
then allowed to drop for 15 seconds or by 1.5 mbar.
If no appreciable pressure drop occurred in 15 seconds, the leak test is con-

sidered “passed”.
If the pressure has decreased significantly (up to 1.5 mbar), the piston will
move upward until the airway pressure has increased 2 mbar, or the piston
has moved upward a specific volume of 160 mL, whichever comes first.
The upward piston movement in mL, divided by the increase in airway pres-
sure yields the system compliance value. This compliance value is used
when calculating the system leak rate only. The system compliance is calcu-
lated in the next step upon completion of the system leak test.
The total time that elapsed between the start of the piston movement and the
transition pressure drop by 1.5 mbar is the time base for the leak calculation.
The result of the “system leak test” is displayed only if the value is outside the
tolerance range.
Otherwise only “OK” will be displayed.

1.0_Printed on_16.01.08_W5330450_Leaktest.fm
Patient circuit leak test The patient circuit leak test is done in a similar way to the system leak test:
The PEEP/Pmax valve is used to close off the expiratory part of the pneu-
matic circuit. Only the patient circuit is tested.
Copyright reserved.
The test begins by opening the PEEP valve and checking where the current
piston position is.

Leak test
If the piston is above the desired starting position the piston is servoed down-
ward.
If the piston is below the desired starting position the piston is servoed
upward.
Then the PEEP valve is closed and the piston is moved upward.
When the airway pressure has reached 30 mbar, the piston is paused at that
position and maintained there by the servo function.
Once the pressure has stabilized, the state changes to “waiting for leak.”
When the airway pressure and ventilator pressure have dropped 1 mbar or
the elapsed waiting time exceeds 20 seconds, the state changes to calcula-
tion of the leak in mL and leak rate in mL/min.
The software detects that the completion state has gone to “pass” or “fail” and
will then display the leak test results on the leak test screen (or display an
appropriate error message, if the completion state is one of the error condi-
tions).
The result of the “patient leak test” is displayed after each test.
Otherwise only OK will be displayed.
Valve test After completion of the leak test and compliance test, the auxiliary air valve,
the pressure limiting valve, and the PEEP/Pmax valve are tested.
Copyright reserved.

44
Leak test
Fabius plus
5330.450
Copyright reserved.
Schematics and Diagrams
45
Fabius plus tubing diagrams
Fig. 1 Tubing diagram, 3-gas variant (O2, AIR, N2O, S-ORC (pipeline supply only))
Version 1.0_Printed on_16.01.08_S5330450_Schlauchschema.fm

Copyright reserved.

Fig. 2 Tubing diagram, 3-gas variant, US (O2, AIR, N2O, S-ORC (pipeline supply only))
Copyright reserved.

Fig. 3 Tubing diagram, 2-gas variant (O2, N2O, S-ORC (pipeline supply only))

Copyright reserved.

Fig. 4 Tubing diagram, 2-gas variant (O2, AIR (pipeline supply only))
Copyright reserved.

50
Fabius plus
5330.450
Copyright reserved.
Annex
Parts catalog
Test List
Parts catalog
Fabius plus
Revision: 2007-09-18
5330.450
Because you care

Maintenance parts/Service kits Parts catalog
Item Part No. Description Qty. Qty. Remark

No. unit
6850645 O2-Sensor (Capsule) 1.000 St
8403735 Set of 5 Spirolog sensors 1.000 St
1190520 HOSE 4X1,5-SI 50 SH A NF 1.000 m
U04314 O-RING SEAL 1.000 St
8402868 BACTERIA FILTER 1.000 St
2600650 DIAPHRAGM,CUP 1.000 St
8607055 Hose Asm PEEP-Pmax-APL Byp LH 1.000 St
Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
5330.450 Revision: 2007-09-18 10:21:59

Control box Parts catalog

No. unit
6 1832662 Fuse holder with cap 1.000 St
6A 1815121 FUSE LINK T2,5A DIN41662 1.000 St
6B 1815148 FUSE LINK DIN 41662 T3,15A 1.000 St
5330.450 Revision: 2007-09-18 10:21:59

Rear panel Parts catalog

No. unit
4 1832662 Fuse holder with cap 1.000 St
4A 1815121 FUSE LINK T2,5A DIN41662 1.000 St
4B 1815148 FUSE LINK DIN 41662 T3,15A 1.000 St
5330.450 Revision: 2007-09-18 10:21:59

User interface Parts catalog

No. unit
4 M29655 CONTROL KNOB 1.000 St
5330.450 Revision: 2007-09-18 10:21:59

Ventilator Parts catalog

No. unit
7 2600650 DIAPHRAGM,CUP 1.000 St
5330.450 Revision: 2007-09-18 10:21:59

Manuals/Techn.Documentation Parts catalog

No. unit
9039054 IfU Fabius plus SW 3.n en 1.000 St
9039294 IfU Fabius plus SW 3.n de 1.000 St
9039295 IfU Fabius plus SW 3.n fr 1.000 St
9039296 IfU Fabius plus SW 3.n pt-br 1.000 St
9039297 IfU Fabius plus SW 3.n ru 1.000 St
9039298 IfU Fabius plus SW 3.n es 1.000 St
9039323 IfU Fabius plus SW 3.n it 1.000 St
9039326 IfU Fabius plus SW 3.n el 1.000 St
9039155 IfU Fabius plus SW 3.n zh 1.000 St
5330.450 Revision: 2007-09-18 10:21:59

Sets and spare parts Parts catalog

No. unit
1 MX08060 SET OF LABELS 1.000 St
2 MX08649 Pressure-reducing valve 1.000 St
4 MX08653 E-set gasket 1.000 St
5 MX08158 REP.SET GASKET/C (USA) 1.000 St
6 MX08047 E-SET BASEOVERHAUL 1.000 St
5330.450 Revision: 2007-09-18 10:21:59

Suction hoses Parts catalog

No. unit
1 M35015 AGS-SCAVANGER HOSE 0,5M 1.000 St
2 M33297 AGS-SCAVANGER HOSE 1,5M 1.000 St
3 M33298 AGS-SCAVANGER HOSE 3M 1.000 St
4 M33299 AGS-SCAVANGER HOSE 5M 1.000 St
5330.450 Revision: 2007-09-18 10:21:59

Plugs Parts catalog

No. unit
1 G60580 AGSS PROBE/STRAIGHT-TYPE1/ EN 1.000 St
2 G60495 AGSS ANGLE PROBE / TYPE 1 / EN 1.000 St
5330.450 Revision: 2007-09-18 10:21:59

Plugs Parts catalog

No. unit
3 G60440 ANAESTH.WASTE GAS PROBE 45 1.000 St
5330.450 Revision: 2007-09-18 10:21:59

Accessories/ consumables Parts catalog

No. unit
8604310 hose-ventilator 110cm 1.000 St
8607055 Hose Asm PEEP-Pmax-APL Byp LH 1.000 St
8402868 BACTERIA FILTER 1.000 St
1190520 HOSE 4X1,5-SI 50 SH A NF 1.000 m
8604874 Hose Asm-PEEP/Pmax-APL Byp RHS 1.000 St
M23225 VALVE DISK 1.000 St
1836722 SUPPLY MAIN 3,5M 3G1 CRSW 1.000 St
1841793 PWR Cord 10A,3m,gr,USA/J RoHS 1.000 St
8301348 EARTHING CABLE, 0,8 M 1.000 St
8301349 EARTHING CABLE, 3,2 M 1.000 St
6733895 SET MIC.FILTER 654ST-ISOCLICK 1.000 St
M30146 HOSE SET VENTILATION 1.000 St
M33681 PEDIATRIC ACCESSORY 1.000 St
M27542 HOSESET CIRCLESYSTEM CHILDREN 1.000 St
5330.450 Revision: 2007-09-18 10:21:59


No. unit
M33278 Y-PIECE ADULT,LUER LOCK 1.000 St
M25682 Y-PIECE ADULT 1.000 St
M25650 Y-PIECE ADULT,STRAIGHT 1.000 St
8403075 Y-PIECE 90DEGREE 1.000 St
M27077 Y-PIECE STRAIGHT PAED 1.000 St
M25647 NOZZLE 22/22 1.000 St
MX22700 Anesthesia Set Basic 150cm 1.000 St
MX22705 Anesthesia Set Complete 1.000 St
MX22702 ANESTHESIA SET BASIC SMARTUBE 1.000 St
2165732 Anesthesia mask size 1 (air cu 1.000 St
2165740 Anesthesia mask size 2 (air cu 1.000 St
2165759 Anaethesia mask size 3 (air cu 1.000 St
AB10048 CHILDREN-MASK SILICONE SIZE 1 1.000 St
AB10049 CHILDREN-MASK SILICONE SIZE 2 1.000 St
5330.450 Revision: 2007-09-18 10:21:59


No. unit
2166054 Breathing bag 0.5L ISO - silic 1.000 St
2166127 Breathing bag 1.5L ISO silicon 1.000 St
2165686 Breathing bag 0.5L ISO 1.000 St
8604287 Fan hose right 1.000 St
8603839 Breathing hose E 85cm 1.000 St
1851713 Cable Great Britian,3m,10A 1.000 St
1851705 Cable Australia,3m,10A,C13 1.000 St
1851721 Power cable DK, 3 m, 10 A 1.000 St
5330.450 Revision: 2007-09-18 10:21:59


No. unit
1851691 Mains cable Swiss ,3m,10A 1.000 St
1859714 Power cable 10A,3m,black,China 1.000 St
4117266 POWER CORD ASM- 15FT FABIUS GS 1.000 St
1 8403735 Set of 5 Spirolog sensors 1.000 St
2 8606055 O2 sensor housing, right 1.000 St
3 6850645 O2-Sensor (Capsule) 1.000 St
5330.450 Revision: 2007-09-18 10:21:59

Fabius plus Parts catalog
Assembly
Description Part No.
Accessories/ consumables
Anaethesia mask size 3 (air cu 2165759
Anesthesia mask size 1 (air cu 2165732
Anesthesia mask size 2 (air cu 2165740
Anesthesia Set Basic 150cm MX22700
ANESTHESIA SET BASIC SMARTUBE MX22702
Anesthesia Set Complete MX22705
BACTERIA FILTER 8402868
Breathing bag 0.5L ISO 2165686
Breathing bag 0.5L ISO - silic 2166054
Breathing bag 1.5L ISO silicon 2166127
Breathing hose E 85cm 8603839
Cable Australia,3m,10A,C13 1851705
Cable Great Britian,3m,10A 1851713
CHILDREN-MASK SILICONE SIZE 1 AB10048
CHILDREN-MASK SILICONE SIZE 2 AB10049
EARTHING CABLE, 0,8 M 8301348
EARTHING CABLE, 3,2 M 8301349
Fan hose right 8604287
HOSE 4X1,5-SI 50 SH A NF 1190520
Hose Asm PEEP-Pmax-APL Byp LH 8607055
Hose Asm-PEEP/Pmax-APL Byp RHS 8604874
HOSE SET VENTILATION M30146
HOSESET CIRCLESYSTEM CHILDREN M27542
hose-ventilator 110cm 8604310
Mains cable Swiss ,3m,10A 1851691
NOZZLE 22/22 M25647
O2 sensor housing, right 8606055
O2-Sensor (Capsule) 6850645
PEDIATRIC ACCESSORY M33681
Power cable 10A,3m,black,China 1859714
Power cable DK, 3 m, 10 A 1851721
POWER CORD ASM- 15FT FABIUS GS 4117266
PWR Cord 10A,3m,gr,USA/J RoHS 1841793
SET MIC.FILTER 654ST-ISOCLICK 6733895
Set of 5 Spirolog sensors 8403735
SUPPLY MAIN 3,5M 3G1 CRSW 1836722
VALVE DISK M23225
5330.450 Revision: 2007-09

Assembly
Y-PIECE 90DEGREE 8403075
Y-PIECE ADULT M25682
Y-PIECE ADULT,LUER LOCK M33278
Y-PIECE ADULT,STRAIGHT M25650
Y-PIECE STRAIGHT PAED M27077
AGS-System
AGS CONTAINER M33292
AGS-SYSTEM, BASIC UNIT M33300
FILTER M33294
Label Vacuum Suction 8605459
AIR
AIR CONNECTING HOSE 3M (BLACK) M29241
AIR CONNETING HOSE 1,5M(BLACK) M29281
AIR-CONNECTING HOSE 1,5M M29279
AIR-CONNECTING HOSE 5M M29259
AIR-CONNECTING HOSE 5M (BLACK) M29261
AIR-HOSE NIST 1,5M DIN PROBE M34407
AIR-HOSE NIST 3M DIN PROBE M34408
AIR-HOSE NIST 5M DIN PROBE M34409
AIR-ZV-HOSE 1,5M NIST EN-COLOR 8602519
AIR-ZV-HOSE 3M NIST EN-COLOR 8602520
AIR-ZV-HOSE 5M NIST EN-COLOR 8602521
AIR/O2
02/AIR-CONNECTING HOSE 3M M29243
AIR/O2-ZV-HOSE 1,5M NIST EN-C. 8602525
AIR/O2-ZV-HOSE 3M NIST EN-COL. 8602526
AIR/O2-ZV-HOSE 5M NIST EN-COL. 8602527
O2/AIR-HOSE NIST 1,5MDIN PROBE M34410
O2/AIR-HOSE NIST 3M DIN PROBE M34411
O2/AIR-HOSE NIST 5M DIN PROBE M34412
O2-AIR CONNECT.HOSE 3M(BLACK) M29245
O2-AIR CONNECT.HOSE 5M (BLACK) M29265
O2-AIR CONNECTING HOSE 1,5M M29283
O2-AIR CONNECTING HOSE 5M M29263
O2-AIR-CONNECT.HOSE 1,5(BLACK) M29285
Basic Unit
AGS-SYSTEM, BASIC UNIT M33300
Breathing system COSY 2.6

Cosy2.6 8605797
5330.450 Revision: 2007-09

Assembly
Bronch succ. system

KIT - PIVOT RAIL ASM - GCX 4118453
Secretion jar set with claw 2M86036
Central Air distributor

AIR-DISTRIBUTOR 1,5M M28963
AIR-DISTRIBUTOR 1,5M (BLACK) M29866
AIR-DISTRIBUTOR 1,5M DIN PROBE M34561
AIR-DISTRIBUTOR 3M M30709
AIR-DISTRIBUTOR 3M (BLACK) M30711
AIR-DISTRIBUTOR 3M DIN-PROBE M34562
AIR-DISTRIBUTOR 5M M30710
AIR-DISTRIBUTOR 5M (BLACK) M30712
AIR-DISTRIBUTOR 5M DIN-PROBE M34563
AIR-ZV-DISTRIB.1,5M NIST EN-C. 8602531
AIR-ZV-DISTRIB.3M NIST EN-COL. 8602532
AIR-ZV-DISTRIB.5M NIST EN-COL. 8602533
Central O2 distributor
DIAPHRAGM SEPARATION M34492
O2-DISTR.1,5M DIN-ST.NIST-FN M34941
O2-HOSE NIST 5M DIN PROBE M34403
O2-ZV-DISTRIB.1,5M DIN BLUE 8602534
O2-ZV-DISTRIB.1,5M NIST EN-C. 8602528
O2-ZV-DISTRIB.3M DIN BLUE 8602535
O2-ZV-DISTRIB.3M NIST EN-COLOR 8602529
O2-ZV-DISTRIB.5M DIN BLUE 8602536
O2-ZV-DISTRIB.5M NIST EN-COLOR 8602530
Clutch adapter
Adapter AIR DIN/DIN-coupling M28031
Adapter AIR NIST/DIN-coupling M35058
Adapter N2O DIN/DIN-coupling M23875
Adapter N2O NIST/DIN-coupling M35057
Adapter O2 NIST/DIN-coupling M35056
O2-COUPLING HOSE 0,15M M23874
Control box
Fuse holder with cap 1832662
FUSE LINK DIN 41662 T3,15A 1815148
FUSE LINK T2,5A DIN41662 1815121
5330.450 Revision: 2007-09

Assembly
Hose DIN, device NIST

ADAPTER O2 (DIN/NIST) M32366
ADAPTOR AIR (DIN/NIST) M32368
ADAPTOR AIR/O2 (DIN/NIST) M32370
ADAPTOR N2O (DIN/NIST) M32367
ADAPTOR VAC (DIN/NIST) M32369
Hose DISS, device NIST

ADAPTOR-AIR,DISS-NIST M34877
ADAPTOR-N2O,DISS-NIST M34876
ADAPTOR-O2,DISS-NIST M34875
ADAPTOR-VAC,DISS-NIST M34878
Hose NIST, device DIN

ADAPTOR AIR (NIST/DIN) M32495
ADAPTOR AIR/O2 (NIST/DIN) M32497
ADAPTOR N2O (NIST/DIN) M32494
ADAPTOR O2 (NIST/DIN) M32493
ADAPTOR VAC (NIST/DIN) M32496
Instructions for Use

AGS A-Gas Awayline hu/cz 9038239
AGS A-Gas Awayline ru/pl 9038207
AGS A-Gas Awayline sv/no 9038206
AGS A-Gas Awayline zh/jp 9038208
INSTRUCTIONS FOR USE AGS DA/IT 9029425
Instructions for Use AGS de/en 9029327
INSTRUCTIONS FOR USE AGS FR/ES 9029426
INSTRUCTIONS FOR USE AGS FR/NL 9037424
KIT AGS Adapter

MODIF.AGS-ADAPTER TITUS/SA2 M32976
Maintanance Parts/Service Sets

FILTER M33294
Maintenance parts/Service kits

BACTERIA FILTER 8402868
DIAPHRAGM,CUP 2600650
HOSE 4X1,5-SI 50 SH A NF 1190520
Hose Asm PEEP-Pmax-APL Byp LH 8607055
O2-Sensor (Capsule) 6850645
O-RING SEAL U04314
Set of 5 Spirolog sensors 8403735
5330.450 Revision: 2007-09

Assembly
Manuals/Techn.Documentation
IfU Fabius plus SW 3.n de 9039294
IfU Fabius plus SW 3.n el 9039326
IfU Fabius plus SW 3.n en 9039054
IfU Fabius plus SW 3.n es 9039298
IfU Fabius plus SW 3.n fr 9039295
IfU Fabius plus SW 3.n it 9039323
IfU Fabius plus SW 3.n pt-br 9039296
IfU Fabius plus SW 3.n ru 9039297
IfU Fabius plus SW 3.n zh 9039155
N2O
N2O-CONNECT.HOSE 1,5M (BACK) M29277
N2O-CONNECT.HOSE 3M (BLACK) M29237
N2O-CONNECT.HOSE 5M (BLACK) M29257
N2O-CONNECTING HOSE 1,5M M29275
N2O-CONNECTING HOSE 5M M29255
N2O-CONNECTION HOSE 3M M29235
N2O-HOSE NIST 1,5M DIN PROBE M34404
N2O-HOSE NIST 3M DIN PROBE M34405
N2O-HOSE NIST 5M DIN PROBE M34406
N2O-ZV-HOSE 1,5M NIST EN-COLOR 8602516
N2O-ZV-HOSE 3M NIST EN-COLOR 8602517
N2O-ZV-HOSE 5M NIST EN-COLOR 8602518
O2
O2-CONNECT.HOSE 1,5M (BLACK) M29273
O2-CONNECT.HOSE 3M (BLACK) M29233
O2-CONNECT.HOSE 5M (BLACK) M29253
O2-CONNECTING HOSE 1,5M M29271
O2-CONNECTING HOSE 5M M29251
O2-CONNECTION HOSE 3M M29231
O2-HOSE NIST 1,5M DIN-PROBE M34401
O2-ZV-HOSE 1,5M NIST EN-COLOR 8602513
O2-ZV-HOSE 5M NIST EN-COLOR 8602515
O2-ZV-HOSE3M NIST EN-COLOR 8602514
Plugs
AGSS ANGLE PROBE / TYPE 1 / EN G60495
AGSS PROBE/STRAIGHT-TYPE1/ EN G60580
ANAESTH.WASTE GAS PROBE 45 G60440
5330.450 Revision: 2007-09

Assembly
Rear panel
Fuse holder with cap 1832662
FUSE LINK DIN 41662 T3,15A 1815148
FUSE LINK T2,5A DIN41662 1815121
RS AGS- Schienenklaue
Lever-type clamp M25739
MODIFICATION AGS-RAIL CLAMP M32967
Sets and spare parts

E-SET BASEOVERHAUL MX08047
E-set gasket MX08653
Pressure-reducing valve MX08649
REP.SET GASKET/C (USA) MX08158
SET OF LABELS MX08060
Suction hoses
AGS-SCAVANGER HOSE 0,5M M35015
AGS-SCAVANGER HOSE 1,5M M33297
AGS-SCAVANGER HOSE 3M M33298
AGS-SCAVANGER HOSE 5M M33299
User interface
CONTROL KNOB M29655
VAC
VAC.-CONNECT.HOSE 1,5M(BLACK) M29289
VAC.-CONNECT.HOSE 3M (BLACK) M29249
VAC.-CONNECT.HOSE 5M (BLACK) M29269
VAC-HOSE NIST 1,5M DIN PROBE M34413
VAC-HOSE NIST 3M DIN PROBE M34414
VAC-HOSE NIST 5M DIN PROBE M34415
VACUUM-CONNECTION HOSE 1,5M M29287
VACUUM-CONNECTION HOSE 3M M29247
VACUUM-CONNECTION HOSE 5M M29267
VAC-ZV-HOSE 1,5M NIST EN-COLOR 8602522
VAC-ZV-HOSE 3M NIST EN-COLOR 8602523
VAC-ZV-HOSE 5M NIST EN-COLOR 8602524
vac./eject. succ.system
Vacuum type aspir. Diss MK03140
Vacuum type aspir. Diss Canada MK03320
Vacuum type aspir. Nist MK01422
Valve
CAP 1,BLACK M24597
5330.450 Revision: 2007-09

Assembly
Ventilator
DIAPHRAGM,CUP 2600650
Without plug, color EN 739

AIR-DISTRIBUTOR 5M,NO PLUG M34564
CS-HOSE N2O,5M,NO PLUG M34417
CS-HOSE AIR 5M, NO PROBE M34418
CS-HOSE AIR-O2,5M,NO PLUG M34420
CS-HOSE O2 5M, NO PROBE M34416
CS-HOSE VAC,5M,NO PLUG M34419
O2-DISTRIBUTOR 5M,NO PLUG M34565
Without plug, no color

AIR-DISTRIB.NIST 5M,BL,N.PROBE M32677
AIR-HOSE 5M NIST BL., NO PROBE M32039
N2O-HOSE 5M,NIST,BL.,NO PROBE M32038
O2/AIR HOSE 5M NIST,BL.,NO PR. M32047
O2-DISTRIB.NIST 5M,BL,N.PROBE M32679
O2-HOSE 5M NIST BL., NO PROBE M32037
VAC.HOSE 5M,NIST,BL.,NO PROBE M32046
5330.450 Revision: 2007-09

Test instructions (TL)
Fabius plus
This test list can be processed with standard commercially available test aids and tools, but does not replace the
required inspections and maintenance work carried out by the manufacturer.
Version 1.0_Printed on_20.12.07_P5330450_front.fm
Copyright reserved.
- Fabius plus Version 1.0 1 of 19

2 of 19
-
Fabius plus
Version 1.0
Copyright reserved.
Version 1.0_Printed on_20.12.07_P5330450_front.fm
Inhaltsverzeichnis
1 Device configuration
1.1 Device configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
1.1.1 Serial number / software (if not otherwise recorded) ...........................................................................6
2 Electrical safety
2.1 Electrical safety according to VDE 0751 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
2.1.1 Basic unit .............................................................................................................................................8
3 Function and condition test

3.1 Basic unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
3.1.1 Labelling ...........................................................................................................................................10
3.1.2 Instructions for Use ............................................................................................................................10
3.1.3 Condition of basic unit .......................................................................................................................10
3.1.4 Condition of the breathing system .....................................................................................................10
3.2 Basic unit self-test, calibration and leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
3.2.1 Self-test/system diagnostics of the basic unit ....................................................................................11
3.2.2 Leak tightness of breathing system ...................................................................................................11
3.3 Alarm volume, power failure alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
3.3.1 Alarm volume .....................................................................................................................................12
3.3.2 Power failure alarm, battery circuit ....................................................................................................12
3.4 Testing the SORC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
3.4.1 N2O shut-off ......................................................................................................................................13
3.5 O2 flush . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
3.5.1 O2 flush valve ....................................................................................................................................14
3.6 Low O2 alarm test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
3.6.1 O2 low alarm .....................................................................................................................................15
3.7 Pressure test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
3.7.1 PEEP accuracy ..................................................................................................................................16
3.8 Ventilation modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
3.8.1 Manual ventilation ..............................................................................................................................17
3.8.2 Lung ventilator performance ..............................................................................................................17
3.8.3 Flow measurement ............................................................................................................................17
3.9 O2 measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
3.9.1 O2 concentration 21% .......................................................................................................................18
3.9.2 O2 concentration 100% .....................................................................................................................18
3.10 Device handover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
K5330450IVZ.fm 20.12.07
Copyright reserved.
3 von 19
4 von 19
Inhaltsverzeichnis
Copyright reserved.
K5330450IVZ.fm 20.12.07
1 Device configuration
5 of 19
Test procedure
Device configuration
1.1 Device configuration
1.1.1 Serial number / software (if not otherwise recorded)
NOTE
The serial number is located on the rear of the unit.
Entry Serial number of the unit

[________txt]
NOTE
The serial number is located on the right-hand side of the breathing system.
Entry Serial number of the breathing system (Cosy)

[________txt]
Version 1.0_Printed on_20.12.07_P5330450_Configuration.fm

Copyright reserved.
6 of 19 . Fabius plus Version 1.0

2 Electrical safety
7 of 19
Test procedure
Electrical safety according to VDE 0751
2.1 Electrical safety according to VDE 0751
NOTE
The Fabius conforms to the requirements of protection class I, type B.
2.1.1 Basic unit

Action • Check power fuses, plugs for non-heating apparatus, power supply cord
including strain-relief device, convenience socket-outlets, and ground stud.
NOTE
When testing according to VDE 0751, test the system, not the individual
devices.
Systems must be handled as devices.
A medical system is a combination of several devices of which at least one is
a medical electrical device which is connected to other devices by functional
connections or by a transportable multiple socket-outlet.
Test The plugs for non-heating apparatus, power supply cord, and the ground
studs are neither contaminated nor damaged.
Result [________ok]
Power fuses
Test The power fuse-links match the specifications on the rating plate.
Result [________ok]
Protective earth conductor resistance

Test The protective earth conductor resistance must not exceed 0.3 ohms (includ-
ing power supply cord) in each case.
Result Protective earth conductor resistance
[________Ohm]
Equivalent unit leakage current
NOTE
Set up the Fabius so that it is insulated.
Test The initial value must not exceed 1000 µA.

Version 1.0_Printed on_20.12.07_P5330450_Electrical_safety_vde.fm
Result Initial value

[________µA]
Test The recurrent measurement value must not exceed 1000 µA.
Result Recurrent measurement
[________µA]
Copyright reserved.

3 Function and condition test
9 of 19
Test procedure
Basic unit
3.1 Basic unit

Prerequisites The device is fully assembled.
3.1.1 Labelling
Test Labels and markings are complete and legible.
Result Condition checked.
[________OK]
3.1.2 Instructions for Use

Test The Instructions for Use are available (according to user/owner).
[________OK]
3.1.3 Condition of basic unit

Test The device is undamaged.
[________OK]
3.1.4 Condition of the breathing system

Test The breathing system is undamaged.
[________OK]
Version 1.0_Printed on_20.12.07_P5330450_Function_Condition.fm

Copyright reserved.

Test procedure
Basic unit self-test, calibration and leak test
3.2 Basic unit self-test, calibration and leak test

Prerequisites The device is connected to the mains power supply.
The device is connected to the pipeline supply system or the cylinders are
open, as applicable.
3.2.1 Self-test/system diagnostics of the basic unit

Action • Turn the device power switch to "ON".
Test
Fig. 1 System diagnostics screen
Check that the Fabius completes the self-test and that all tests indicate
"pass".
Entry Entering the software version
[________txt]
Result Self-test successfully completed.

[________OK]
3.2.2 Leak tightness of breathing system

Action • Fully mount the breathing system's components.
• Call the "Standby" screen.
Version 1.0_Printed on_20.12.07_P5330450_Function_General.fm
• Operate the "Leak/Compl.Test" button in the "Standby" screen.

• Follow the on-screen instructions.
Test Leak test successfully completed.
Result
[________OK]
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. Fabius plus Version 1.0 11 of 19

Test procedure
Alarm volume, power failure alarm
3.3 Alarm volume, power failure alarm

Prerequisites The Fabius is switched on and in „Standby“ mode.
3.3.1 Alarm volume

Action • Press the setup key to open the "standby config" screen.
• Confirm "default settings" using the rotary knob.
• Enter code.
• Operate „Return“ using the rotary knob.
• Select "Alarm Volume" and confirm with the rotary knob.
Test Set the alarm volume to maximum using the rotary knob.
Action • Exit from Standby/configuration.
• Switch to Volume Control mode.
• Generate any alarm.
Test An audible and visual alarm is generated.
Result [________OK]
Action • Restore the original volume.
3.3.2 Power failure alarm, battery circuit

Action • Press the "Standby" key to access Standby mode.
• Press the MAN/SPONT key on the control unit, and then confirm the dis-
played message using the rotary knob.
Test Disconnect the power plug to check that the "power failure" message and the
icon appear within one minute of disconnecting the power plug.
Connect the power plug and check that the "power failure" message disap-
pears.
Result [________OK]
Version 1.0_Printed on_20.12.07_P5330450_Function_Alarme.fm

Copyright reserved.

Test procedure
Testing the SORC
3.4 Testing the SORC

Prerequisites The device is switched on and in „Standby“ mode.
3.4.1 N2O shut-off

Action • Set the O2 and N2O flow control valves to 4 L/min.
• Close the O2 flow control valve again.
Test The N2O flow stops when the O2 flowrate is less than 0.1 L/min.
Result [________OK]
Version 1.0_Printed on_20.12.07_P5330450_Function_SORC.fm
Copyright reserved.

Test procedure
O2 flush
3.5 O2 flush
Introduction These instructions describe the functional test of the O2 flush button.
Prerequisites Device is fully assembled.
3.5.1 O2 flush valve

Action • Press and release the O2 FLUSH button.
Test The O2 flow stops immediately.
Result [________OK]
Version 1.0_Printed on_20.12.07_P5330450_Function_Hosesystem.fm

Copyright reserved.

Test procedure
Low O2 alarm test
3.6 Low O2 alarm test

Introduction These instructions describe the functional test of the low O2 alarm.
Prerequisites The device is connected to the pipeline supply system or the cylinders are
open, as applicable.
Device is switched on.
3.6.1 O2 low alarm

Action • Set the O2 flow to 4 L/min.
• Disconnect the O2 pipeline supply connector or close the O2 cylinder sup-
ply, as applicable.
Test After a short period, the "LOW O2 SUPPLY PRESSURE!!!" alarm message is
displayed, an audible alarm sounds, and the red alarm LED comes on.
Result [________OK]
Action • Restore the pipeline supply or the cylinder supply, as applicable.

Version 1.0_Printed on_20.12.07_P5330450_Function_Gasbloc.fm
Copyright reserved.

Test procedure
Pressure test
3.7 Pressure test

Prerequisites The device is switched on and is in "Volume Control" mode.
The breathing system is fitted.
3.7.1 PEEP accuracy

Action • Set a PEEP pressure.
Test After a few breaths: The set PEEP pressure matches the displayed value.
Result [________OK]
Version 1.0_Printed on_20.12.07_P5330450_Function_Breathing_Pneumatic.fm

Copyright reserved.

Test procedure
Ventilation modes
3.8 Ventilation modes

Prerequisites The device is switched on, has successfully completed the self-test, and is in
"Standby" mode.
The flow sensor is calibrated.
The breathing system is fitted.
3.8.1 Manual ventilation

Action • Connect a test lung to the Y-piece of the breathing system.
• Select Man/Spont mode.
• Set the O2 fresh-gas flow to 3 L/min.
• Set APL valve to MAN, 30 mbar.
Test Manual ventilation can be applied by squeezing the manual breathing bag.
Result [________OK]
3.8.2 Lung ventilator performance

Action • Switch to Volume Control mode.
• Press the flush button briefly to inflate the bag.
• Confirm settings with the rotary knob.
Test Volume Control ventilation mode is displayed.
Ventilation starts.
Result [________OK]
3.8.3 Flow measurement

Action • Set Vt to 500 mL.
Test The measured Vt matches the set Vt.
Result [________OK]
Version 1.0_Printed on_20.12.07_P5330450_Function_Breathing.fm
Copyright reserved.

Test procedure
O2 measurement
3.9 O2 measurement
Prerequisites The MAN/SPONT ventilation mode has been selected.
The O2 sensor has been calibrated.
3.9.1 O2 concentration 21%

Action • Remove the O2 sensor from the inspiratory dome and expose it to ambient
air. Wait until the pressure has stabilized.
Test The O2 concentration is21% - 1%.
Result [________%O2]
3.9.2 O2 concentration 100%

Action • Set an O2 flow of 3 L/min.
Test After a short period, the O2 concentration has reached 97 to 100%.
Result [________%O2 ]
Version 1.0_Printed on_20.12.07_P5330450_Function_O2Flowmeter_Option.fm

Copyright reserved.

Test procedure
Device handover
3.10 Device handover

Entry Place fully functional device at the user's/owner's disposal.
[________OK]
Version 1.0_Printed on_20.12.07_P5330450_Function_Product.fm
Copyright reserved.

Test Report (TL)
Institution: Delivery date:
Serial no.: Other:
OK Para Name Result OK Para Name Result

1 Device configuration 3. 2. 2 Leak tightness of breathing system
1. 1. 1 Serial number / software (if not otherwise recorded) 3. 3 Alarm volume, power failure alarm
1. 1. 1. 1 Serial number of the unit 3. 3. 1 Alarm volume
1. 1. 1. 2 Serial number of the breathing system (Cosy) 3. 3. 2 Power failure alarm, battery circuit
2 Electrical safety 3. 4 Testing the SORC
2. 1 Electrical safety according to VDE 0751 3. 4. 1 N2O shut-off
2. 1. 1 Basic unit 3. 5 O2 flush
2. 1. 1. 1 Power fuses 3. 5. 1 O2 flush valve
2. 1. 1. 2 Protective earth conductor resistance Ohm 3. 5. 1. 1 The O2 flow stops.
2. 1. 1. 3 Equivalent unit leakage current 3. 6 Low O2 alarm test
2. 1. 1. 4 Initial value µA 3. 6. 1 O2 low alarm
2. 1. 1. 5 Recurrent measurement µA 3. 7 Pressure test
3 Function and condition test 3. 7. 1 PEEP accuracy
3. 1 Basic unit 3. 8 Ventilation modes
3. 1. 1 Labelling 3. 8. 1 Manual ventilation
3. 1. 2 Instructions for Use 3. 8. 2 Lung ventilator performance
3. 1. 3 Condition of basic unit 3. 8. 3 Flow measurement
3. 1. 4 Condition of the breathing system 3. 9 O2 measurement
3. 2 Basic unit self-test, calibration and leak test 3. 9. 1 O2 concentration 21% %O2
3. 2. 1 Self-test/system diagnostics of the basic unit 3. 9. 2 O2 concentration 100% %O2
3. 2. 1. 1 Entering the software version 3.10 Device handover
3. 2. 1. 2 Self-test successfully completed.
Report:
Test has been performed according to the test instructions (TL).
Name: ________________________
Date/signature: ________________________
Revision 1.0 Fabius plus 1/1

This page has been intentionally left blank.
Manufacturer:
Dräger Medical AG & Co. KG
Moislinger Allee 53 – 55
23542 Lübeck
Germany
Phone: (+49) (0) 1805-3723437

Fax: (+49) (0) 451/882 - 3779
Web: http://www.draeger.com
Subject to change without notice.

Will not be replaced in the event of modifications.
© Copyright January 2008 by Dräger Medical AG & Co. KG, Lübeck, Germany.

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Technical Documentation

WARNING! Revision 1.0

Because you care

Symbols and Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6

System overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

Control panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13

Control PCB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15

Respiratory flow measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16

FiO2 measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

Batteries (backup power supply) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19

Pneumatic assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20

Lung ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22

Gas supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25

SORC and flowmeter block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26

Compact breathing system Cosy 2.6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28

Maintenance procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40

Leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42

Schematics and Diagrams

Fabius plus tubing diagrams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46

Symbols and Definitions

procedures do not replace inspections and servicing by the manufacturer.

6 Fabius plus 533.450

533.450 Fabius plus 7

Structure The Fabius plus comprises the following assemblies:

10 Fabius plus 5330.450

Table 1 Legend to Fig. 1

Table 2 Legend to Fig. 2

3 PEEP (tube connector for PEEP valve).

6 Volume sensor (Spirolog sensor).

5330.450 Fabius plus 11

Table 3 Legend to Fig. 3

12 Fabius plus 5330.450

Structure The control panel comprises the following parts:

Fig. 4 Block diagram of the control panel

5330.450 Fabius plus 13

Fig. 5 Control panel (“Standby” screen), for legend see Table 4

Table 4 Legend to Fig. 5

14 Power ON indicator: Is on when the device is plugged into an active

14 Fabius plus 5330.450

Introduction The following describes the Control PCB function.

Fig. 6 Controller functional block diagram

5330.450 Fabius plus 15

Respiratory flow measurement

Introduction The following describes the respiratory flow measurement function.

Fig. 7 Respiratory flow sensor, for legend see Table 5

Table 5 Legend to Fig. 7

The amount of electrical current needed to maintain a constant platinum wire

16 Fabius plus 5330.450

Design of the O2 sensor

Fig. 8 Oxygen sensor, for legend see Table 6

Table 6 Legend to Fig. 8

The oxygen sensor is an electrochemical cell that generates a voltage which

The oxygen to be measured diffuses through the Teflon membrane, under-

5330.450 Fabius plus 17

The chemical process is temperature-sensitive. Therefore, thermistors are

If the oxygen sensor fails, a warning will be displayed on the screen.

18 Fabius plus 5330.450

Batteries (backup power supply)

Introduction The following describes the backup power supply function.

The backup power supply is part of the control box.

Fig. 9 Block diagram of the backup power supply

Table 7 Legend to Fig. 9

12 V Two rechargeable batteries. Backup power supply for

5330.450 Fabius plus 19